Individual
MRS. DANIELLE MICHELLE ODUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1203 WESTBANK EXPY, WESTWEGO, LA 70094-4755
(504) 371-1061
(504) 371-1062
Mailing address
1203 WESTBANK EXPY, WESTWEGO, LA 70094-4755
(504) 371-1061
(504) 371-1062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18581
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200224
—
LA
Enumeration date
09/16/2011
Last updated
09/16/2011
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